Dsmittty911

The thing I worry about is where AK would carry his penlight. Too SCARY to imagine.

I went to a school with a dedicated Pharmacology course. I studied my butt off for it but ( Dust you've met the instructor) I didn't feel I was given adequate exposure to all of the information that I should have been. I will probably retake the course when I get to my new school. We were given a very basic introduction to drugs, how to administer (IV IO IM etc.)... We did drug reference cards on 1 drug in each category (126 cards total). But I don't feel it was enough. I will be looking for more reference material to study up on.

You've been given a LOT of great information. Just remember the old KISS method. Keep It Simple SIlly. Start with a very simple questoin or 2. Why would you call 911? If you want to make them laugh ask them to give you the number for 911. Explain very simply what happens from the time they dial 911 to the time you respond. Once you get started with a little explanation about EMS and the 911 system then move to showing them the ambulance you'll be suprised how fast the time flies by. Good Luck P.S. Spell check not working. So if I mess up it's late and I'm tired. I'll check it again tomorrow LOL

I saw the comment made that the dispatcher would not be terminated because of her years of faithful service to the city. I wonder how many other times something like this has happened with this "faithful servant of the city". They wonder why incidents like this happen. If you keep the people that are screwing up you have a lot of screwed up people. Pretty simple concept to me. I fell sorry for the kid who was told many many many times in school. "if you have emergency or problem call 911." When he does it they ignore him and tell him to quit playing. I hope that dispatcher thinks about what she cost that child every day for the rest of her life. Like has been said many many many times on here." If we want to be treated more professionally then we must act or perform more professionally." I'm normally a person who feels lawsuits are abused really bad in this country but I think Detroit should be sued on behalf of this child and while it won't bring momma back maybe It'll at least pay for the counseling they'll need for many years.

Something else they failed to mention was the spell checker. I've never heard of studding for a class. LOL... Good Luck

One of the hospitals here has the slogan" First in E$#@ T#$@#, Second to none!"

LMAO @scaramedic. If you only knew bro. If you only knew.

I will say that I agree with Dust. Meds are an ALS topic but in this case this post should be here because even if not administering the drug EMT-B's should still know contraindications of drugs (ntg, epi pen, etc.) I have actually stopped a Doc from giving ntg to a pt in ER because Doc failed to ask about Viagra. Pt had taken Viagra just 5-6 hours prior to being transported. I also agree about the difference between administering and assisting in administering drugs. Remember that there are many men who purchase their meds on line and are likely unaware that there may be deadly interactions. They just know they took their Viagra, had a good time, now their chest hurts and that's what they take NTG for. Just for discussion let's say this individual was at grocery store a few hours later, has chest pains, someone that knows you're a Basic gets you to help. Pt says I have NTG for chest pain in my pocket. If basic doesn't ask for sample hx (chest started hurting when good time was over but he figured it would go away. Now it's gotten worse. went from 2 to a 6 on pain scale) The basic lets him take NTG then finds out about Viagra. Too bad so sad. Nothing can be done now. If it were discovered sooner ALS truck can be enroute but pt would still be alive (or at least treatable) Not DRT.

It's actually very simple. Number one even though MOST people do not want to be on government assistance if they had to call you they have other things on their minds. Just simply ask them if they have medical coverage that they would like to have this billed to. This leaves you the out if it is insurance or government assistance. I've been there and while I wasn't proud of it things would've been a lot worse without it. As long as you not acting like you looking down on them for it they should be okay with it.

Here I believe it's 48 hours. It causes very serious hypovolemic shock. It's like someone opened a spigot (or dilated all the blood vessels) and let the blood out. No elasticity in the veins means no bp and last time i checked that's a very bad bad thing. Causes a very serious case of DRT. (Dust you may recognize this one from your PHTLS class here. One of Dave's favorite sayings) Dead Right There. It's irreversible in prehospital setting. In other words you just killed your pt.

Would love to check out pics but they gone. LOL

I agree with Wendy. Some of the best medics, or emt's for that matter, that I know are also ff's. The other thing that bothers me is that peeps more worried about ff's ego's and how they made a dying kids dream come true. To me that means more than any of this petty bs rivalry. The last time I checked Public Service was just that serving the public not our own ego's. As far as where I live fire rolls as primary responder so they gonna be there anyway, why get into a pissing contest about it. GROW UP......

This is typical case of CYA. Let them get the dam subpeona. Once they have that you are covered for talking to them. Otherwise if they didn't see it let them figure it out on their own. I'm not saying to be rude and offensive. Just explain your position. "If I tell you that then I'm violating my code of ethics and the law.

Donkey Schlong

The one thing that I haven't seen mentioned yet is documenting that the cream was on prior to arrival. There have been several comments about the damage already been done. The only thing left after the dry sterile dressing is to CYA. In this time of lawsuit happy people I would think seriously about noting that it was already on there. I know you would note it if you did apply it but cover your rear end since you didn't do it. Just my .02.